JOSE DAVID SANDOVAL-SUS (NPI# 1174846158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174846158 |
| Entity Type | Individual |
| Full Name | JOSE DAVID SANDOVAL-SUS |
| Credential | M.D. |
| Practice Address |
801 N Flamingo Rd Ste 11 Pembroke Pines FL 33028-1046 |
| Mailing Address |
2900 Corproate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542654325 |
| Practice Fax Number | 9544434747 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME116179 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
ME116179 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021103800 | 05 |
| Street Address |
801 N FLAMINGO RD STE 11 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244017 | Manuel A Martinez | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2005-09-09 |
| 1407226723 | Jozory Espinosa Polanco | Nurse Practitioner | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2015-09-29 |
| 1811327539 | Liliana Kortmansky | Nurse Practitioner | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2013-11-15 |
| 1235404658 | Matthew Salzberg | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028 | 2012-03-19 |
| 1689754558 | Tracey Candelora | Nurse Practitioner | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2006-10-16 |
| 1346266970 | Jyotishankar Raychaudhuri | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028 | 2006-07-15 |
| 1922093335 | Anna Ninny Abraham | Internal Medicine | 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 33028-1046 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871938001 | Ariel F Grajales-cruz | Internal Medicine | 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 33028-1021 | 2013-05-01 |
| 1407912116 | Claudia Esther Paba Prada | Internal Medicine | 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 33028-1021 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051482 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5130 Linton Blvd Ste B4, Delray Beach, FL 33484-6595 | 2020-10-21 |
| 1063054153 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5985 Silver Falls Run, Suite 200, Bradenton, FL 34211-1291 | 2019-10-10 |
| 1750857397 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 900 Pine St Ste 111, Englewood, FL 34223-4457 | 2018-10-22 |
| 1598290694 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 2257 Us Highway 441 N, Suite C, Okeechobee, FL 34972-1943 | 2017-04-26 |
| 1831622299 | American Oncology Network LLC | Internal Medicine | 9160 Forum Corporate Pkwy, Suite 350, Fort Myers, FL 33905-7805 | 2017-04-04 |
| 1841656733 | Florida Cancer Specialists P L | Internal Medicine | 3355 Wedgewood Ln, The Villages, FL 32162-7181 | 2016-01-07 |
| 1437528080 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1301 2nd Ave Sw Ste 290, Largo, FL 33770-3120 | 2015-09-24 |
| 1114346988 | Sherise Chantell Rogers | Internal Medicine | Division of Hematology/oncology 2000 Sw Archer Road, Gainesville, FL 32610-0001 | 2014-04-09 |
| 1528402393 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 7463 State Road 52, Hudson, FL 34667-6714 | 2013-04-24 |
| 1265775209 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4801 S Congress Ave Ste 400, Lake Worth, FL 33461-4746 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.